Evidence-Based Programs for Older Adults: A Disconnect Between U.S. National Strategy and Local Senior Center Implementation

2016 ◽  
Vol 29 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Julie Bobitt ◽  
Andiara Schwingel
Keyword(s):  
Older Adults ◽  
Evidence Based ◽  
National Strategy ◽  
Senior Center ◽  
Evidence Based Programs

scholarly journals Using Inclusive Design to Develop a Tele–Tai Chi Intervention for Older Adults With Long-Term Mobility Disability

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 599-600
Author(s):  
Tracy Mitzner ◽  
Elena Remillard ◽  
Kara Cohen ◽  
Jordan Chen
Keyword(s):  
Older Adults ◽  
Tai Chi ◽  
Target Population ◽  
Evidence Based ◽  
Exercise Interventions ◽  
Software Developer ◽  
Master Trainer ◽  
Evidence Based Programs ◽  
To Receive

Abstract Tele-technologies may be able to increase access to evidence-based exercise interventions for adults aging with long-term mobility disabilities. This population experiences substantial barriers in attending such programs in person, including lack of transportation to classes, inaccessible buildings where classes are held, and lack of appropriate modifications offered for this population of older adults. It is critical to overcome such barriers to ensure this population has an opportunity to receive the benefits of evidence-based programs. In this study we are translating an in-person evidence-based tai chi intervention, Tai Chi for Arthritis, to an online platform using videoconferencing software for those aging with long-term mobility disabilities. We will describe our approach of including users from the target population and industry representatives (videoconferencing software developer, Tai Chi for Arthritis program developer as well as local master trainer) in the adaptation of the intervention and present the key findings from doing so.

scholarly journals LINKING A BRIEF INTERVENTION TO EVIDENCE-BASED PROGRAMS TO COMBAT MALNUTRITION AMONG OLDER ADULTS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 459-459
Author(s):  
M Smith ◽  
L Eagle ◽  
S Lachenmayr ◽  
J Simon
Keyword(s):  
Older Adults ◽  
Brief Intervention ◽  
Evidence Based ◽  
Evidence Based Programs

scholarly journals Age-Friendly Initiatives and Primary Care in Rural Arkansas

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Robin McAtee ◽  
Leah Tobey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Chronic Pain ◽  
Fall Prevention ◽  
Educational Programs ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Geriatric Education ◽  
Evidence Based Programs

Abstract The Arkansas Geriatric Education Collaborative (AGEC)’s Geriatric Workforce Enhancement Program is partnering with a plethora of community based organizations (CBO) and with ARcare, an Arkansas federally qualified healthcare clinic network, to implement the 4Ms of age-friendly care in rural clinics. Baseline clinical data related to the Age-Friendly 4M Framework has been gathered and quality improvement projects initiated to improve the outcomes. Initiatives to improve depression and cognitive screenings are addressing Mentation; fall prevention screens and the offering of fall prevention programs have been added for Mobility; high risk medication screens and chronic pain educational programs are being implemented to address Medications; and finally, Medicare Annual Wellness Visits is the cornerstone to improve what Matters to older adults. A campaign that involves partnered CBOs to address health literacy and increase involvement in evidence-based programs is also helping to drive improvements in age-friendly care in rural Arkansas.

scholarly journals Engaging Stakeholders to Implement an Aging in Place Intervention through an Area Agency on Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 873-873
Author(s):  
Pamela Toto ◽  
Caylee Yanes ◽  
Molly Ennis ◽  
Beth Fields
Keyword(s):  
Older Adults ◽  
Goal Setting ◽  
Home Environment ◽  
Aging In Place ◽  
Community Services ◽  
Evidence Based ◽  
Team Meetings ◽  
Eligibility Requirements ◽  
Stakeholder Input ◽  
Evidence Based Programs

Abstract Community Aging in Place, Advancing Better Living for Elders (CAPABLE) is an interdisciplinary evidence-based intervention for reducing disability, reducing cost, and promoting aging in place for older adults who qualify for Medicaid services. However, implementation of CAPABLE through existing community services and with different older adult populations may require adaptations based on stakeholder input. The purpose of this qualitative study was to adapt CAPABLE for implementation through an Area Agency on Aging (AAA) targeting older adults with disability but who do not meet thresholds for Medicaid services. Data collection occurred with stakeholders from a single AAA. Two, 60-minute focus groups were conducted with frontline providers (n=7) and administrators (n=7). Thematic analysis of the data were completed using NVivo 12 Pro. Stakeholders described three themes to consider for implementing CAPABLE in their AAA: screening and referral process, eligibility, and team meetings. Frontline providers recognized the need to allow care managers “to decide who would be most appropriate for the program because they have a better understanding of the person, their family, and home environment.” Administrators supported expanding eligibility requirements, “Could we offer the program to someone even if they were recently hospitalized?” All stakeholders expressed that an initial interdisciplinary team meeting could be beneficial for goal setting, “If the team and consumer could be together for the first meeting that could save time and help generate ideas for goals.” These perspectives affirm the importance of early stakeholder engagement in adapting to adopt evidence-based programs into “real-world” settings.

scholarly journals AN ASSESSMENT OF GERIATRIC TTRAINING AND SUPPORT NEEDS FOR CAREGIVERS AND HEALTH CARE PROFESSIONALS IN RURAL TEXAS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S931-S932
Author(s):  
Susanna Luk-Jones ◽  
Jennifer J Severance ◽  
Doni Green ◽  
Donald Smith ◽  
Roslin Jose
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Memory Loss ◽  
Support Needs ◽  
Evidence Based ◽  
Rural Counties ◽  
Evidence Based Programs ◽  
With Memory

Abstract Of the 254 counties in Texas, 69% are rural, and three out of every four counties are designated as whole or partial Primary Care Health Professional Shortage Areas. Rural counties in Texas have a higher proportion of older adults compared to metropolitan counties, and rural older adults with Alzheimer’s Disease and their caregivers face unique challenges of limited access to healthcare and lower earnings, resulting in more health-related problems. As part of a HRSA Geriatrics Workforce Enhancement Program, an academic medical center, two Area Agencies on Aging in North Texas, and an Alzheimer’s Association Chapter partnered to expand access to evidence-based programs into surrounding rural counties for older adults and caregivers of persons with Alzheimer’s Disease. An interdisciplinary workgroup developed focus group questionnaires for older adults, caregivers, and health care providers in rural areas to identify perceived needs, barriers to accessing services, and strategic partnerships. The North Central Texas Council of Governments conducted 11 focus groups in late 2018 and early 2019. Of these, seven consisted of family members caring for persons with memory loss. Four consisted of professionals who treat persons with memory loss. Transcription and thematic analysis identified key themes of training needs (both providers’ and laypersons’), resource needs, providers’ best practices, barriers to quality care, and other support needs. Practice implications of the findings include cross-sector partners and integrating telehealth platforms for program delivery. Collaboration between academic and community partners can expand access to evidence-based programs for rural and other underserved communities and address areas of need.

Champions of an Older Adult Exercise Program: Believers, Promoters, and Recruiters

2016 ◽  
Vol 37 (6) ◽  
pp. 728-744 ◽  
Author(s):  
Christina E. Miyawaki ◽  
Basia Belza ◽  
Marlana J. Kohn ◽  
Miruna Petrescu-Prahova
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Exercise Program ◽  
Evidence Based ◽  
Group Exercise ◽  
Program Delivery ◽  
Vital Part ◽  
Successful Program ◽  
Program Adoption ◽  
Evidence Based Programs

Champions, who support, market, and promote programs, are a vital part of successful program adoption, implementation, and maintenance. Enhance®Fitness (EF) is an evidence-based, community-delivered group exercise program for older adults. Using semistructured phone interviews with 20 participants, 17 instructors, and 15 staff, we explored the roles of champions in adopting, implementing, and maintaining EF at YMCA-affiliated sites. Interviews revealed EF champions play critical roles in program dissemination. Champions are outgoing, passionate, and enthusiastic about EF. They believe in the program and its benefits (believers), are “walking advertisements” (promoters), and have magnetic personalities, persuading newcomers to join (recruiters). EF champions were not purposefully selected but naturally arose during the course of program delivery. Community sites adopting evidence-based programs can foster and support champions by engaging with them, and capitalizing on their energy as an emerging resource throughout the adoption, implementation, and maintenance of programs.

scholarly journals Implementation Strategies for Widespread Scaling of Effective Programs into Healthcare systems

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 50-50
Author(s):  
Jaime Hughes
Keyword(s):  
Older Adults ◽  
Technical Assistance ◽  
Implementation Strategies ◽  
Consumer Involvement ◽  
Evidence Based ◽  
Health Promotion Programs ◽  
Or Practice ◽  
Clinical Program ◽  
Evidence Based Programs ◽  
And Training

Abstract Translation of effective evidence-based programs into practice is critical to promoting and preserving older adults’ function and independence. This presentation will provide an introduction to implementation strategies, defined as the “methods or techniques used to enhance the adoption, implementation, and sustainability of a clinical program or practice.” Some examples of implementation strategies include education and training, stakeholder engagement, patient and/or consumer involvement, adaptation, and technical assistance. Application of these implementation strategies will be illustrated using examples from local and national scale out of evidence-based health promotion programs for older adults within the VA Healthcare System. This presentation will close with guidance on how to select, track, and evaluate implementation strategies.

Perceptions About Community Applications of RE-AIM in the Promotion of Evidence-Based Programs for Older Adults

2014 ◽  
Vol 38 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Marcia G. Ory ◽  
Mary Altpeter ◽  
Basia Belza ◽  
Janet Helduser ◽  
Chen Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Evidence Based ◽  
Evidence Based Programs

scholarly journals Evidence-based programs for older persons in the Americas

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Patricia Morsch ◽  
Martha Pelaez ◽  
Enrique Vega ◽  
Carolina Hommes ◽  
Kate Lorig
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Management Program ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Evidence Based ◽  
History Of ◽  
Current Context ◽  
Personal Skills ◽  
Evidence Based Programs

In the current context of the aging of populations and the increase in multiple chronic conditions and dependence, it is important that health systems provide opportunities to improve capacities of older adults to enable healthy aging. Opportunities to enhance older adults’ abilities, including self-management, can be offered through evidence-based programs. Such programs have been proven effective in improving individuals’ symptoms and quality of life, often lowering health-care costs. Self-management evidence-based programs can foster the development of personal skills, increase confidence and motivation on self-care, and help individuals to make better decisions about their own health. This special report describes the implementation history of a self-management program in the Region of the Americas, and the barriers to and facilitators of implementation that can serve as examples for evidence-based program dissemination in the Region.

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